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Ann Thorac Surg 2002;73:728-729
© 2002 The Society of Thoracic Surgeons

Invited commentary

Lars G. Svensson, MD, PhDa

a Center for Aortic Surgery and Marfan Clinic, Department of Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Ave, Desk F25 Cleveland, OH 44195, USA

e-mail: svenssl@ccf.org

This report by Dr Urbanski raises two issues: first; how common is the problem of a small aortic annulus in conjunction with aortic aneurysms or dissection for which currently available prosthetic valves are too large? Secondly, could the technique of composite valve insertion described by Urbanski be of value for a patient with a small aortic root without an aortic aneurysm?

An analysis of a series of 131 composite valve graft insertions showed 18 required the smallest available valve, a size 21 prosthesis (13.7%). Results showed that the one 30-day in . . . [Full Text of this Article]


Related Article

Complete aortic root replacement in patients with small aortic annulus
Paul P. Urbanski
Ann. Thorac. Surg. 2002 73: 725-728. [Abstract] [Full Text] [PDF]



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